ERIN LEA DE JONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010324

License Status

NOT RENEWED

Business

First Name

ERIN

Middle

LEA

Last Name

DE JONG

Business Name

ERIN LEA DE JONG

Original Issue Date

06/19/2002

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

SIOUX FALLS

State

Zip

57106

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006